Appendix 2
Module G : Food Diary
24-Hour Diet Recall
(My STARS)
ID :
NAME :
IC :
TELEPHONE :
NUMBER
NCD Section
Disease Control Division
Ministry of Health Malaysia
Guideline for Healthcare Professionals
Health Education and Communication Tools to Reduce Salt Intake in Malaysia
Appendix 2
Part 1 : Food Portion Size
Spoons & ladle Bowls
Small Bowl Chinese Bowl
Teaspoon Soup Spoon Table Spoon Ladle
*To reduce amount of rice, noodles taken
Large Bowl
Ladle Cup Mug
*To estimate amount of vegetables consumed *To estimate amount of liquid consumed
Chicken Beef
Wing Breast (large)
Drumstick Thigh
Fish
Whole fish Half fish Slice of fish Half Slice of fish
*To estimate amount of meat consumed
Guideline for Healthcare Professionals
Health Education and Communication Tools to Reduce Salt Intake in Malaysia
Appendix 2
Part 2 : Food Diary
Food Diary : 24-Hour Diet Recall
1. Please write down all the food, snacks or drinks you consume in a day.
2. Write in details the amount of the ingredients, sauce or gravy included in the food.
3. One of these days is the day of the collection of urine in 24-hour.
Example
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Breakfast (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
6.30 am Home cooked Fried mee Mee 1 cup
Chicken 1 ½ cup
Tomato sauce 1 tbspn
Chilli sauce 1 tbspn
Oyster sauce ½ tspn
Salt 1 tsp (4 serving)
Carrot 1 tbspn
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Morning tea (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
10.00 am Office Milo Milo 3 in 1 1 packet
Biscuit cream Biscuit Hup Seng 3 pieces
crackers
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Lunch (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
1.00 pm Office Rice White rice 1 cup
Fried Fish Mackerel fish 1 piece
Vegetables soup Carrot cabbage 1 small bowl
Guideline for Healthcare Professionals
Health Education and Communication Tools to Reduce Salt Intake in Malaysia
Appendix 2
Food Diary : 24-Hour Diet Recall
1. Please write down all the food, snacks or drinks you consume in a day.
2. Write in details the amount of the ingredients, sauce or gravy included in the food.
3. One of these days is the day of the collection of urine in 24-hour.
Public Holidays / Weekends
Day 1. Saturday 2. Sunday 3. Public Holiday
Date
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Breakfast (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Morning tea (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Lunch (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
Guideline for Healthcare Professionals
Health Education and Communication Tools to Reduce Salt Intake in Malaysia
Appendix 2
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Afternoon Tea (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Dinner (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Supper (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
Guideline for Healthcare Professionals
Health Education and Communication Tools to Reduce Salt Intake in Malaysia
Appendix 2
Food Diary : 24-Hour Diet Recall
1. Please write down all the food, snacks or drinks you consume in a day.
2. Write in details the amount of the ingredients, sauce or gravy included in the food.
3. One of these days is the day of the collection of urine in 24-hour.
Working Days
Day Monday Tuesday Wednesday Thursday Friday
Date
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Breakfast (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Morning tea (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Lunch (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
Guideline for Healthcare Professionals
Health Education and Communication Tools to Reduce Salt Intake in Malaysia
Appendix 2
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Afternoon Tea (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Dinner (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
A. B. C. D. E.
Time for Food sources Type of food or Ingredients in Household
Supper (buy / cook) drink food or drink measurament
(hour) (tablespoon, teaspoon,
cup, spoon)
Guideline for Healthcare Professionals
Health Education and Communication Tools to Reduce Salt Intake in Malaysia
